Background:

Have you ever been convicted of a felony or sexual offense?

Do you need court appointed community service hours? If so, please explain:

How did you hear about us (required)

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

— HOW CAN YOU HELP US —

We provide custom wheelchairs to children with special needs who can neither purchase them nor qualify for public or charitable funding.